Search results for "intensive care unit"

showing 10 items of 459 documents

Italian inter-society expert panel position on radiological exposure in Neonatal Intensive Care Units.

2020

Abstract Background In the recent years, clinical progress and better medical assistance for pregnant women, together with the introduction of new complex technologies, has improved the survival of preterm infants. However, this result requires frequent radiological investigations mostly represented by thoracic and abdominal radiographs in incubators. This document was elaborated by an expert panel Italian inter-society working group (Radiologists, Paediatricians, Medical Physicists) with the aim to assist healthcare practitioners in taking choices involving radiation exposures of new-born infants and to provide practical recommendations about justification and optimization in Neonatal Inte…

ConsensusRadioprotectionPaediatric exposureStandardizationReviewPatient Positioning030218 nuclear medicine & medical imaginglaw.invention03 medical and health sciencesPatient safety0302 clinical medicineRadiation ProtectionlawIntensive careIntensive Care Units NeonatalHealth caremedicineHumansIntensive care unitSocieties MedicalModalitiesbusiness.industrylcsh:RJ1-570Infant Newbornlcsh:PediatricsGuidelineIntensive care unit Paediatric exposure Radiology RadioprotectionRadiation Exposuremedicine.diseaseIntensive care unitItaly030220 oncology & carcinogenesisRadiological weaponMedical emergencybusinessRadiologyInfant PrematureItalian journal of pediatrics
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Defining Kawasaki disease and pediatric inflammatory multisystem syndrome-temporally associated to SARS-CoV-2 infection during SARS-CoV-2 epidemic in…

2021

Abstract Background There is mounting evidence on the existence of a Pediatric Inflammatory Multisystem Syndrome-temporally associated to SARS-CoV-2 infection (PIMS-TS), sharing similarities with Kawasaki Disease (KD). The main outcome of the study were to better characterize the clinical features and the treatment response of PIMS-TS and to explore its relationship with KD determining whether KD and PIMS are two distinct entities. Methods The Rheumatology Study Group of the Italian Pediatric Society launched a survey to enroll patients diagnosed with KD (Kawasaki Disease Group – KDG) or KD-like (Kawacovid Group - KCG) disease between February 1st 2020, and May 31st 2020. Demographic, clini…

Coronary artery abnormalities; Hypotension; Kawasaki disease; Multisystem inflammatory syndrome associated with coronavirus disease; Myocarditis; Pediatric inflammatory multisystem syndrome-temporally associated to SARS-CoV-2 infection; SARS-CoV-2; Age Distribution; Antirheumatic Agents; Aspirin; C-Reactive Protein; COVID-19; Child; Child Preschool; Coronary Artery Disease; Cough; Diarrhea; Dyspnea; Female; Glucocorticoids; Heart Failure; Humans; Hyperferritinemia; Hypotension; Immunoglobulins Intravenous; Immunologic Factors; Infant; Intensive Care Units Pediatric; Interleukin 1 Receptor Antagonist Protein; Italy; Lymphopenia; Male; Mucocutaneous Lymph Node Syndrome; Myocarditis; Platelet Aggregation Inhibitors; SARS-CoV-2; Shock; Systemic Inflammatory Response Syndrome; Tachypnea; Troponin T; VomitingMalelcsh:Diseases of the musculoskeletal systemcoronary artery abnormalities; hypotension; kawasaki disease; multisystem inflammatory syndrome associated with coronavirus disease; myocarditis; pediatric inflammatory multisystem syndrome-temporally associated to SARS-CoV-2 infection; SARS-CoV-2; age distribution; antirheumatic agents; aspirin; C-reactive protein; COVID-19; child ; preschool; coronary artery disease; cough; diarrhea; yspnea; female; glucocorticoids; heart failure; humans; hyperferritinemia; hypotension; immunoglobulins; intravenous; immunologic factors; infant; intensive care units; pediatric; interleukin 1 receptor antagonist protein; italy; lymphopenia; male; mucocutaneous lymph node syndrome; myocarditis; platelet aggregation inhibitors; SARS-CoV-2; shock; systemic inflammatory response syndrome; tachypnea; troponin T; vomitingMyocarditiCoronary Artery Disease030204 cardiovascular system & hematologySARS-CoV-2 Kawasaki disease Pediatric inflammatory multisystem syndrome-temporally associated to SARS-CoV-2 infection Myocarditis Hypotension Multisystem inflammatory syndrome associated with coronavirus disease Coronary artery abnormalitiesCoronary artery diseaseSettore MED/38 - Pediatria Generale E Specialistica0302 clinical medicineGlucocorticoidImmunologic FactorMultisystem inflammatory syndrome associated with coronavirus diseaseImmunology and AllergyChildCoronary artery abnormalitieFisher's exact testPediatricTachypneabiologylcsh:RJ1-570Antirheumatic AgentImmunoglobulins IntravenousShockPediatric inflammatory multisystem syndrome-temporally associated to SARS-CoV-2 infectionSettore MED/38Systemic Inflammatory Response SyndromeIntensive Care UnitsMyocarditisC-Reactive ProteinItalyAntirheumatic AgentsChild PreschoolCohortsymbolsPlatelet aggregation inhibitorFemaleHypotensionIntravenousCoronary artery abnormalitiesHumanResearch ArticleDiarrheamedicine.medical_specialtyMyocarditisVomitingImmunoglobulinsMucocutaneous Lymph Node SyndromeIntensive Care Units Pediatric03 medical and health sciencessymbols.namesakeAge DistributionRheumatologyTroponin TInternal medicineLymphopeniamedicineHumansImmunologic FactorsPreschoolGlucocorticoids030203 arthritis & rheumatologyHeart FailureAspirinKawasaki diseasebusiness.industrySARS-CoV-2Platelet Aggregation InhibitorC-reactive proteinCOVID-19Infantlcsh:Pediatricsmedicine.diseaseSystemic inflammatory response syndromeInterleukin 1 Receptor Antagonist ProteinDyspneaCoughImmunoglobulins IntravenouPediatrics Perinatology and Child Healthbiology.proteinKawasaki diseaseHyperferritinemialcsh:RC925-935businessPlatelet Aggregation InhibitorsPediatric rheumatology online journal
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Personal protective equipment use by healthcare workers in intensive care unit during the early phase of COVID-19 pandemic in Italy: a secondary anal…

2021

Background: Italy was the first Western country to be heavily affected by COVID-19. Healthcare workers (HCWs) were exposed to a high risk of occupational infection, partially due to insufficient personal protective equipment (PPE) supplies. This study aimed to describe the practices, availability, training, confidence in PPE use and the adverse effects due to extended PPE use, as reported by HCWs in Italy. We also aimed to provide a comparison between Italian data and those from other countries. Methods: This study was a secondary analysis of a previously published international study, the PPE-SAFE Survey, conducted in April 2020. Data were analysed from the original study database. Results…

Coronavirus disease 2019 (COVID-19)Infectious and parasitic diseasesRC109-21601 natural scienceslaw.invention03 medical and health sciences0302 clinical medicinePatient satisfactionlawEnvironmental healthSecondary analysisPandemicHealth careMedicinePharmacology (medical)survey030212 general & internal medicine0101 mathematicsPersonal protective equipmentOriginal Researchbusiness.industry010102 general mathematicsCOVID-19Intensive care unitInfectious DiseasesItalypersonal protective equipmentbusinessEarly phasePPE-SAFETherapeutic advances in infectious disease
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Impact psychologique de la pandémie de COVID-19 sur les soignants en réanimation

2021

Alors que l’infection à SARS-COV-2 s’est rapidement propagée au niveau mondial, on a assisté à une mobilisation massive des soignants auprès des personnes infectées. En réanimation, les conditions de travail déjà habituellement difficiles se sont durcies, avec une augmentation forte de la charge de travail, une nécessaire et indispensable réorganisation des soins, des décisions complexes relatives à l’admission des patients et une modification de l’accueil des familles. Le tout dans un climat d’incertitude générale et d’insécurité personnelle. Cet article propose une mise au point sur l’impact psychologique de cette crise sur les soignants en réanimation et les possibles dispositifs d’accom…

Coronavirus disease 2019 (COVID-19)business.industryWorkloadEmergency NursingIntensive care unitMental healthlaw.inventionNursinglawIntensive carePandemicHealth careEmergency MedicineSupport systemPsychologybusinessMédecine Intensive Réanimation
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Prospective Multinational Study of Pertussis Infection in Hospitalized Infants and Their Household Contacts

2007

Increased incidence of pertussis has been noted among infants too young to be immunized. We studied the disease burden of pertussis in pediatric intensive care units and the source of infection in several Asian, European and Latin American countries.The study was conducted in 7 countries from September 2001 to January 2004. Children1 year of age were enrolled from pediatric intensive care units (PICU) and pediatric wards if they presented with respiratory failure, apnea, bradycardia, or cough accompanied by paroxysms, vomiting, whoop or cyanosis. Household members of pertussis-positive index cases were asked to answer a questionnaire and provide diagnostic specimens.Pertussis was confirmed …

Costa RicaMaleMicrobiology (medical)Pediatricsmedicine.medical_specialtyWhooping CoughTaiwanlaw.inventionlawGermanyIntensive caremedicineHumansDisease burdenWhooping coughFamily CharacteristicsSingaporebusiness.industryIncidence (epidemiology)Infant NewbornInfantmedicine.diseaseIntensive care unitInfectious DiseasesEl NiñoSpainPediatrics Perinatology and Child HealthUruguayPertussis vaccineFemaleContact TracingbusinessBrazilContact tracingmedicine.drugPediatric Infectious Disease Journal
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Impact of a stay in the intensive care unit on the preparation of Advance Directives: Descriptive, exploratory, qualitative study.

2017

Abstract Background Our objective was to assess, through a qualitative, exploratory study, the thought processes of patients regarding the formulation of advance directives (AD) after a stay in the ICU. Methods The study was conducted from May to July 2016 using telephone interviews performed by four senior ICU physicians. Inclusion criteria were: patients discharged from ICU to home > 3 months earlier. Semi-directive interviews with patients focused on 5 main points surrounding AD. Results In total, among 159 eligible patients, data from 94 (59%) were available for analysis. Among all those interviewed, 83.5% had never heard of “advance directives”. Only 2% had executed AD before ICU admis…

CounselingMalemedicine.medical_specialtyCritical Caremedicine.medical_treatmentIntensive Care UnitExploratory researchCritical Care and Intensive Care MedicineAdvanced Cardiac Life SupportAdvance directiveslaw.invention03 medical and health sciences0302 clinical medicinelawSurveys and QuestionnairesmedicineHumans030212 general & internal medicineAgedMechanical ventilationAged 80 and overbusiness.industryPersistent Vegetative StateAdvanced cardiac life supportMinimally conscious state030208 emergency & critical care medicine[ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologieGeneral MedicineMiddle Agedmedicine.diseaseIntensive care unit3. Good healthIcu admissionPain IntractableTelephoneIntensive Care UnitsAnesthesiology and Pain MedicineEmergency medicineFemale[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologieQualitative studybusinessInclusion (education)Medical FutilityVentilator WeaningQualitative research
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Variation in communication and family visiting policies in intensive care within and between countries during the Covid-19 pandemic: The COVISIT inte…

2022

Background: During the COVID-19 pandemic, intensive care units (ICU) introduced restrictions to in-person family visiting to safeguard patients, healthcare personnel, and visitors. Methods: We conducted a web-based survey (March– July 2021) investigating ICU visiting practices before the pandemic, at peak COVID-19 ICU admissions, and at the time of survey response. We sought data on visiting pol icies and communication modes including use of virtual visiting (videoconferencing). Results: We obtained 667 valid responses representing ICUs in all continents. Before the pandemic, 20% (106/ 525) had unrestricted visiting hours ; 6% (30/525) did not allow in-person visiting. At peak, 84% (558/667…

Critical CareCommunicationCOVID-19Visitors to PatientsCritical Care and Intensive Care MedicineOrganizational PolicyIntensive Care UnitsPolicyIntensive careRestrictionHumansFamilyPandemicsvisiting restriction intensive careVisiting
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Dispersal of methicillin resistant Staphylococcus aureus (MRSA) in a burn intensive care unit.

2003

Methicillin resistant Staphylococcus aureus (MRSA) is a pathogen of special concern in intensive care units (ICUs). The burn units are a very susceptible habitat to colonization and infection events by this organism. In this paper isolation of MRSA from a sepsis case and from samples of the care unit air is described, along with simultaneous circulation of two clones of MRSA. Some peculiar epidemiological features of MRSA in burn intensive care wards are confirmed.

Cross InfectionIntensive Care UnitsStaphylococcus aureusBurn UnitsHumansMethicillin Resistancemethicillin resistant staphylococcus aureusStaphylococcal InfectionsSettore MED/42 - Igiene Generale E ApplicataBurnsAnnali di igiene : medicina preventiva e di comunita
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ICU-acquired infections: It is not only about the number of patients per room

2016

LETTER TO EDITOR

Cross infectionmedicine.medical_specialtyCross Infectionbusiness.industryIntensive Care Unit030208 emergency & critical care medicineCritical Care and Intensive Care Medicine03 medical and health sciencesIntensive Care Units0302 clinical medicineText miningEmergency medicineMedicineHumans030212 general & internal medicineMED/41 - ANESTESIOLOGIAbusinessICU acquired infection sepsis critical careHuman
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No-touch methods of terminal cleaning in the intensive care unit: results from the first large randomized trial with patient-centred outcomes

2017

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Cross infectionmedicine.medical_specialtySepsiICU-acquired infections; Multidrug resistant organisms; Sepsis; Terminal cleaningIntensive Care UnitMEDLINEMultidrug resistant organismCritical Care and Intensive Care MedicineArticlelaw.inventionSepsis03 medical and health sciencesICU-acquired infection0302 clinical medicineRandomized controlled triallawSepsismedicineHumans030212 general & internal medicineTerminal cleaningIntensive care medicineCross Infectionbusiness.industryMultidrug resistant organismslcsh:Medical emergencies. Critical care. Intensive care. First aid030208 emergency & critical care medicinelcsh:RC86-88.9medicine.diseaseIntensive care unitTerminal cleaningIntensive Care UnitsEmergency medicineICU-acquired infections; Multidrug resistant organisms; Sepsis; Terminal cleaning; Humans; Cross Infection; Intensive Care Units; Critical Care and Intensive Care MedicinebusinessICU-acquired infectionsPatient centredHumanCritical Care
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